IndividualActive
Alexandrea Forward, LICSW
NPI 1558612853 · Professional Counselor · Burlington, VT
Provider details
- NPI number
- 1558612853
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 089.0128888 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
86 Lake St
Burlington, VT 05401-5297
Phone: (802) 865-3450
Approximate (ZIP-level) locationGet directions
Mailing address
180 Ethan Allen Pkwy
Burlington, VT 05408-2523
Additional practice locations (1)
- 10470 Queens BlvdSecond FloorForest Hills, NY 11375-3638Phone: (718) 275-6010
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.